CLINICAL PRACTICES

Authors:
José Antonio Llueca, Julio Herráiz, Miguel Rodrigo, M. C. Medina, K. Delgado, Belén Montañes, E. Moreno, Carmen Catalá, Anna Serra, Cristina Oliva, R. Jativa, Javier Escrig, Amparo Ferrandis, Enrique Calpe, J. L. Salvador
Unidad Multidisciplinar de Cirurgía Oncológica Abdomino-Pélvica (UMCOAP). Hospital General Universitario de Castellón. Castellón

Abstract:
Vesicovaginal fístula is among the most distressing complications of gynaecological and obstetrical procedures.
Management of these fístulas has been better defined and standardised over the last decade.
Vesicovaginal fístula repair is most commonly repaired with transvaginal approach in cases of supratrigonal
fístula and with abdominal approach in cases of supratrigonal fístula. We report a case of a vesicovaginal fístula
after abdominal hysterectomy, which was repaired using a laparoscopic approach. The fístula followed a hysterectomy.
We will describe a novel technique for the treatment of vesicovaginal fístula of supratrigonal location
by intraperitoneal laparoscopic approach.